Current Status of Deceased Donor Organ Recovery and Sharing in Korea

Myoung Soo Kim; Soon Il Kim; Yu Seun Kim

doi:10.5124/jkma.2008.51.8.685

J Korean Med Assoc > Volume 51(8); 2008 > Article

Kim, Kim, and Kim: Current Status of Deceased Donor Organ Recovery and Sharing in Korea

Focused Issue of This Month

Organ Transplantation in Korea: Where do we stand?

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2008; 51(8): 685-691.

Published online: August 31, 2008

DOI: http://dx.doi.org/10.5124/jkma.2008.51.8.685

Current Status of Deceased Donor Organ Recovery and Sharing in Korea

Myoung Soo Kim, MD, Soon Il Kim, MD, Yu Seun Kim, MD

Department of Surgery, Yonsei University College of Medicine, Korea. ysms91@yuhs.ac

Abstract

The first deceased donor organ (kidney) recovery and transplantation was performed in 1979. Since February 2000, deceased donor organ recovery and allocation have been performed exclusively by the direction of the Korean Network for Organ Sharing (KONOS), the governmental authority for organ transplantation in Korea. Herein, we review the annual incidence of deceased donor occurrence, transplantation statistics, and organ allocation status in the era of KONOS, and discuss about future directions for improved organ transplantation activities in Korea.

Deceased donor; Organ sharing; Organ transplantation

References

1. Korean Network for Organ Sharing. Annual Report of Brain Death Organ Transplantation, 1979-2000 2001;Korean Network for Organ Sharing. 1-83.

2. Ministry of Health and Welfare, National Medical Center, Korean Network for Organ Sharing. Korean Network for Organ Sharing. Annual Report 2006 2007;Korean Network for Organ Sharing. 1-339.

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4. The Australia and New Zealand Organ Donation Registry (ANZOD). Annual Report, 2007 Report accessed July 8, 2008. http://www.anzdata.org.au/

5. United Network for Organ Sharing. OPTN/SRTR Annual Report 2006 accessed July 13, 2008. http://www.unos.org/

6. Ha HS, Hong JJ, Kim SC, Lee SG, Song MG, Han DJ. Study on physician's perception and attitudes on organ donation in brain death donors. J Korean Soc Transplant 2001;15:51-57.

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Figure 1

Proportion of deceased donor organ transplantation; Comparison between KONOS data and OPTN/SRTR data 2006.

Table 1

Yearly census of deceased donor and deceased donor organ transplantation

^*Donor recover rate=(Deceased donor No.)/(Total population in Korea)/1,000,000 per each year.

Table 2

Deceased donor recovery rate per million populations, 2006 data

^*Donor recover rate=(Deceased donor No.)/(Total population)/1,000,000 per year

Table 3

Comparisons of organ sharing by transplant era

^*Relative % means percentage of organ transplant no. versus transplant no.

⁺Sharing rate means percentage of organ transplant no. versus deceased donor no.

Table 4

Yearly transplant rate by deceased donor among the waiting list; kidney transplantation.

^*Yearly transplant rate=(No. transplant)/(Mean no. waiting) ^* 100(%)

Mean No. Waiting=1/2 × ((No. waiting at start) + (No. waiting at finish))

No. Waiting at finish=(No. waiting at start) + (No. waiting, new) - (No. censored)

Table 5

Yearly transplant rate by deceased donor among the waiting list; liver transplantation

^*Yearly transplant rate=(No. transplant)/(Mean no. waiting) ^* 100 (%)

Mean No. Waiting=1/2 × ((No. waiting at start) + (No. waiting at finish))

No. Waiting at finish=(No. waiting at start) + (No. waiting, new) - (No. censored)

Table 6

Yearly transplant rate by deceased donor among the waiting list; pancreas, heart and lung transplantation

^*Yearly transplant rate=(No. transplant)/(Mean no. waiting) ^* 100 (%)

Mean No. Waiting=1/2 × ((No. waiting at start) + (No. waiting at finish))

No. Waiting at finish=(No. waiting at start) + (No. waiting, new) - (No. censored)